Management and Anesthesia Consideration of Patient with Multiple Sclerosis

Multiple sclerosis (MS) is an autoimmune disease which causes multifocal inflammation and central nerve system demyelinisation. Repeated acute incidence will worsen prognosis dan reduce survival rate. Anesthesia and surgery trauma, hyperpyrexia, emotional stress and infection is the trigger factor of repeated severe frequency. Therefore an MS patient exposed to anesthesia has higher morbidity and mortality. The anesthesia management which includes anesthesia evaluation and choice of anesthesia technique needs particular attention by an anesthesiologist to assure optimal anesthesia recovery. In our reported case, a female with MS had an urgent surgery of cellulitis abscess debridement of the right leg with general anesthesia.